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Taylor C'Mon Shackelford, EP-C

NPI 1760969935ActiveIndividual· Kinesiotherapist· Alpharetta, GA

Kinesiotherapist (EP-C) in Alpharetta, Georgia, with an NPI issued in July 2018.

Overview

NPI1760969935
StatusActive
Entity typeIndividual
CredentialEP-C
Sole proprietorNo
NPI issuedJul 20, 2018
Last updated in NPPESJul 23, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Kinesiotherapist Primary226300000X—GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Kinesiotherapist providers in Alpharetta

All Kinesiotherapist providers in Georgia